Request edit access
Building Use Request - External
This form is for use of the property by external sources.
Email address *
Submitting this form does not guarantee approval. Please be advised that upon approval, the UUCRT will require a signed Hold Harmless Agreement to be included with deposit. Please watch your email to receive authorization. Thank you!
Requesting Organization: *
Your answer
Organization Street Address: *
Your answer
Organization City, State, Zip: *
Your answer
Organization Phone Number:
Your answer
First and Last Name of Authorized Representative: *
Your answer
Representative Cell Phone Number: *
Your answer
Purpose of Building Use: *
Your answer
Building Rooms Requested (check all that apply): *
Required
Date Requested: *
MM
/
DD
/
YYYY
I have checked the UUCRT calendar for availability. http://uucrt.org/calendar-of-events/ *
Alternate Date Requested: (rain date, snow date, etc)
MM
/
DD
/
YYYY
Start time of Set Up: *
Time
:
Start time of Event: *
Time
:
End time of Event: *
Time
:
Anticipated end time for Cleanup: *
Time
:
Event type: *
Your answer
I am aware that there is a suggested donation to use the space. *
Percentage of proceeds (if any) to be donated to UUCRT: *
Notes or pertinent information:
Your answer
If your form does not submit immediately and email you a confirmation, please make sure you have not left any fields blank. Thank you for your request - we'll get back to you within a few days of approval from the BOT. If you have any questions or concerns, please email Kris at aa.uucrt@gmail.com. Thank you.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service